Active NPI
Paula Grace, LCSW C
- Clinical Social Worker
- Frederick, MD
National Provider Identifier
1003008830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11769
- Practice address
- 7190 Crestwood Blvd
Kaiser Permanente Frederick Medical Center
Frederick, MD 21703-7314 - Phone
- (240) 529-1700
- NPI assigned
- Aug 15, 2007
- Last updated
- Dec 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11769 | MD | Primary |
Addresses
Primary practice location
7190 Crestwood Blvd
Kaiser Permanente Frederick Medical Center
Frederick, MD 21703-7314
Mailing address
2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401708100 | Medicaid | MD |
Other names 1
- Ms. Paula G S Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11769 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychogeriatric Services LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1003008830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E JEFFERSON ST",
"address_2": "KAISER PERMANENTE MEDICARE ENROLLMENT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7190 CRESTWOOD BLVD",
"address_2": "KAISER PERMANENTE FREDERICK MEDICAL CENTER",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217037314",
"telephone_number": "240-529-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "PAULA",
"name_prefix": "Ms.",
"credential": "LCSW C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401708100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "BROWN",
"middle_name": "G S",
"prefix": "MS.",
"credential": "LCSW C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.